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General NPI Number Information
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NPI Number | 1801940424
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Entity Type | Individual
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Provider Name | WASHINGTON DENNIS WHITE LPC
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 930 CAMBRIDGE ST SUITE 108
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-9625
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Country | US
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Telephone | 910-483-1075
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Fax | 910-433-3077
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Provider Business Mailing Address
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Address Line | 1017 BOBBY JONES DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28312-9239
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Country | US
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Telephone | 910-988-1024
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 3809
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 98
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License Number State | NC
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